Scholarlink

<p>Phalloplasty following penectomy for penile cancer presents a complex reconstructive challenge, requiring restoration of urinary and sexual function while addressing anatomical and psychological sequelae. Unlike gender-affirming phalloplasty, this procedure is complicated by previous surgery and potential anatomical deficits. However, limited data exist to guide reconstruction in this cohort. This narrative review summarises available evidence on phalloplasty post-penectomy. A systematic search identified six relevant studies, including 48 patients, with follow-up ranging from 1 to 150 months. The radial artery free flap (RAP) and anterolateral thigh flap (ALTP) are the preferred techniques, each with distinct advantages and limitations. While RAP offers superior tactile recovery, ALTP reduces donor site morbidity. Complication rates are high, particularly urethral strictures and fistulae, affecting up to 64.3% of cases. Despite these risks, functional outcomes, including standing micturition and sexual activity, are achievable and patient satisfaction remains high. Challenges include extrapolating data from transgender cohorts and managing psychosocial concerns. A multidisciplinary approach is essential for optimising patient selection, counselling, and long-term outcomes. Further research is needed to refine surgical techniques, improve complication management, and explore innovative reconstructive strategies.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Sexual and urological reconstruction following penectomy for penile cancer: phalloplasty

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月16日

查看全文
  • Andrea Gobbo,
  • Andrew Nim Christopher,
  • Angelo di Giovanni,
  • Abdullah Al-Mitwalli,
  • Karl Pang,
  • David Ralph,
  • Wai Gin Lee

摘要

Phalloplasty following penectomy for penile cancer presents a complex reconstructive challenge, requiring restoration of urinary and sexual function while addressing anatomical and psychological sequelae. Unlike gender-affirming phalloplasty, this procedure is complicated by previous surgery and potential anatomical deficits. However, limited data exist to guide reconstruction in this cohort. This narrative review summarises available evidence on phalloplasty post-penectomy. A systematic search identified six relevant studies, including 48 patients, with follow-up ranging from 1 to 150 months. The radial artery free flap (RAP) and anterolateral thigh flap (ALTP) are the preferred techniques, each with distinct advantages and limitations. While RAP offers superior tactile recovery, ALTP reduces donor site morbidity. Complication rates are high, particularly urethral strictures and fistulae, affecting up to 64.3% of cases. Despite these risks, functional outcomes, including standing micturition and sexual activity, are achievable and patient satisfaction remains high. Challenges include extrapolating data from transgender cohorts and managing psychosocial concerns. A multidisciplinary approach is essential for optimising patient selection, counselling, and long-term outcomes. Further research is needed to refine surgical techniques, improve complication management, and explore innovative reconstructive strategies.